NCT06609824

Brief Summary

Research shows that many children face anxiety and stress related problems. However, as much as 70-80% of children do not receive help. The aim of this project is to offer a training for children who are hindered by their shyness or fears, so that all children can develop freely without being held back and so that the risk of escalation of fear and stress in the long term can be prevented. In this project the prevention training 'Learn to Dare!' will be offered to children between the ages of 8 and 18 where the long-term outcomes and the program itself will be evaluated for attractiveness and satisfaction. With the evidence-based program 'Learn to Dare!\' children between the ages of 8 and 12 learn to stand up for themselves in a safe environment, to face the situations that they find exciting and to be more confident in their own abilities. This project aims to adapt the program so that it can be available up to and including 18 years in the future.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
48

participants targeted

Target at P25-P50 for not_applicable

Timeline
32mo left

Started Apr 2024

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress44%
Apr 2024Dec 2028

Study Start

First participant enrolled

April 2, 2024

Completed
5 months until next milestone

First Submitted

Initial submission to the registry

September 10, 2024

Completed
14 days until next milestone

First Posted

Study publicly available on registry

September 24, 2024

Completed
4.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2028

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2028

Last Updated

September 24, 2024

Status Verified

September 1, 2024

Enrollment Period

4.8 years

First QC Date

September 10, 2024

Last Update Submit

September 19, 2024

Conditions

Keywords

PreventionChildhood AnxietyShyness

Outcome Measures

Primary Outcomes (4)

  • Change in anxiety severity in children (SCARED-child)

    The Screen for Child Anxiety Related Disorders (SCARED) will be administered to the children. Scores on the SCARED range between 0-142. A higher score means higher anxiety levels.

    During baseline 1, baseline 2, post-training, and the follow-ups (6, 12, and 24 months after the training)

  • Change in anxiety severity in children (SCARED-parent)

    The Screen for Child Anxiety Related Disorders (SCARED) will be administered to the parents. Scores on the SCARED range between 0-142. A higher score means higher anxiety levels.

    During baseline 1, baseline 2, post-training, and the follow-ups (6, 12, and 24 months after the training)

  • Change in severity of anxiety in children (SCID-parent)

    Severity of anxiety will be assessed using the Structured Clinical Interview for DSM Disorders (SCID) in combination with the severity index (Clinician Severity Rating) of the Anxiety Disorder Interview Schedule (ADIS-V). The CSR-score is a score between 0 and 8, with higher scores indicating a higher severity and interference of anxiety. The SCID will be administered to the parents.

    From baseline to the end of the training and follow-up (6, 12, and 24 months post-training).

  • Change in severity of anxiety in children (SCID-child)

    Severity of anxiety will be assessed using the Structured Clinical Interview for DSM Disorders (SCID) in combination with the severity index (Clinician Severity Rating) of the Anxiety Disorder Interview Schedule (ADIS-V). The CSR-score is a score between 0 and 8, with higher scores indicating a higher severity and interference of anxiety. The SCID will be administered to the children.

    From baseline to the end of the training and follow-up (6, 12, and 24 months post-training).

Secondary Outcomes (1)

  • Change in self-efficacy of the children (WIRK-ALL child version)

    From baseline to the end of the training and follow-up (6, 12, and 24 months post-training).

Study Arms (1)

Training Group

EXPERIMENTAL

This arm consists of all participants who receive the training intervention. The purpose is to assess longitudinal effectiveness of the training within all participants.

Behavioral: Leer te Durven!

Interventions

Leer te Durven!BEHAVIORAL

'Leer te Durven!' is an eight-week preventative group training for children between the ages of 8 and 12. This training is evidence-based and is based on the principles of Cognitive Behavioral Therapy. With this program children learn to stand up for themselves in a safe environment, to face the situations that they find exciting and to be more confident in their own abilities. The training consists, among other things, of psychoeducation, exposure, and relaxation.

Training Group

Eligibility Criteria

Age8 Years - 18 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • Cut-off scores of the SCARED: for girls 31 and for boys 27.

You may not qualify if:

  • Currently under treatment for anxiety complaints or under treatment in the mental health care system for other internalizing complaints.
  • Anxiety problems or comorbid problems that require attention or treatment (including a 6 or higher on the severity index (CSR) of the ADIS and a score above the clinical cut-off on the Child Depression Inventory.)
  • Difficulty in understanding the training.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Leiden University

Leiden, South Holland, 2333AK, Netherlands

RECRUITING

Related Publications (1)

  • Simon E, de Hullu E, Bogels S, Verboon P, Butler P, van Groeninge W, Slot W, Craske M, Whiteside S, van Lankveld J. Development of 'learn to dare!': An online assessment and intervention platform for anxious children. BMC Psychiatry. 2020 Feb 11;20(1):60. doi: 10.1186/s12888-020-2462-3.

    PMID: 32046669BACKGROUND

MeSH Terms

Conditions

Shyness

Condition Hierarchy (Ancestors)

Social BehaviorBehavior

Study Officials

  • Anke M Klein, AS

    Leiden University

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
PREVENTION
Intervention Model
SEQUENTIAL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Inverstigator

Study Record Dates

First Submitted

September 10, 2024

First Posted

September 24, 2024

Study Start

April 2, 2024

Primary Completion (Estimated)

December 31, 2028

Study Completion (Estimated)

December 31, 2028

Last Updated

September 24, 2024

Record last verified: 2024-09

Data Sharing

IPD Sharing
Will not share

The investigators will share the data upon request, but only for specific purposes. In addition, the data needs to be deleted after use. The investigators will not share data that cannot be anonymised, such as the video data.

Locations